Section 21

Section 21 of Clinical Establishment ACT. No permanent registration shall be granted in respect of a clinical Conditions for establishment, unless it has, - (a) provided such minimum standards of accommodation, as may be prescribed;

(1) No permanent registration shall be granted in respect of a clinical Conditions for establishment, unless it has, - (a) provided such minimum standards of accommodation, as may be prescribed; permanent registration.

(b) engaged such minimum number of service providers and other categories of employees with such qualification(s), as may be prescribed;

(c) made arrangements for such minimum standards of facilities and services including emergency care and referral services, as may be prescribed;

(d) installed such equipment and machineries, as may be prescribed;

(e) made such arrangements for the disposal of Bio-Medical Waste as prescribed under the Bio-Medical Waste Management Rules, 2016 made by the Government of India, Ministry of Environment, Forest and Climate Change;

(f) made provisions for maintenance of such records and registers in such form and containing such particulars, as may be prescribed; and (g) fulfilled such other condition(s), as may be prescribed.

(2) Every registration granted under sub-section (1) shall be subject to the following terms and conditions, namely :- (a) conditions laid down in sub-section (1) are continuously complied with;

(b) necessary precautions are observed so as to ensure that the clinical establishment is not being used for any unsocial or immoral purpose;

(c) the clinical establishment does not resort to any unethical practices whatsoever;

(d) all such measures are taken to keep the clinical establishment in such satisfactorily, sanitary and hygienic condition, as may be prescribed;

(e) all such information is displayed in such manner, as may be prescribed;

(f) all such reports in such form containing such particulars and such necessary documents are submitted to such authorities at such intervals or on demand, as may be prescribed;

(g) such medical and other reports, records and documents are made available to the registration authority or the service recipient or his representative on demand, as may be prescribed;

(h) a report is submitted to the concerned authority immediately in case a person, who has been received in or accommodated or both in the clinical establishment, is found to be suffering from any such infectious or dangerous disease or other condition, as may have been notified by the State Government, especially those covered under the Epidemic Diseases Act, 1897;

(i) every clinical establishment maintains a Public Grievance Redressal Mechanism for lodging of any complaint regarding treatment, improper billing, deficiency in service, attending staff's behaviour etc. and for timely assured redressal thereof;

(j) every clinical establishment sets up a proper Help Desk to maintain regular and proper communication with the service recipients or their representatives regarding treatment being provided, recipient's condition, regular billing etc. and their proper counseling;

(k) every clinical establishment immediately after coming into force of this Ordinance, maintains comprehensive medical records and provides a set of all medical records and treatment details along with the discharge summary at the time of discharge of the service recipient;

(l) every clinical establishment having more than one hundred beds may endeavour to set up a Fair Price Medicine Shop and a Fair Price Diagnostic Centre;

(m) no person is subject to any discrimination in any form or manner, by the clinical establishment in access to facilities, goods, care and services, including admission, on any of the grounds of nationality, sex/gender, physical or mental disability, occupation, religion, sect, language, caste, political or other opinion or affiliation, actual or perceived health status and disease condition like Human Immunodeficiency Virus (HIV) infection or Acquired Immunodeficiency Syndrome (AIDS) or such other diseases like Covid-19 and other emerging and as yet unknown infectious diseases, as may be prescribed, or such other arbitrary grounds;

(n) the clinical establishment actively participates in the implementation of all National and State Health Programmes including the prevention of spread of communicable diseases in such manner as the State Government may specify from time to time and furnish periodical reports related thereto as per prescribed formats to the authorities concerned;

(o) the clinical establishment at all times, ensures compliance with all the applicable laws including any rules, regulations, instructions, guidelines, notifications, circulars, by-laws, etc .;

(p) the clinical establishment provides treatment within the staff and facilities available, to provide first aid to all the victims of road traffic accidents, rail accidents, air accidents, explosions, natural disasters and calamities who come or are brought to the clinical establishment. After providing the first aid and making all possible available efforts to stabilize such patients, the clinical establishment shall be at liberty to refer them to an appropriate Government hospital/medical college; and (q) such other terms and conditions, as may be prescribed. Standards for permanent registration. Allowing or disallowing of registration.

Section 21, Clinical Establishment ACT (Act 657 of 2020).